10D0955537 CLIA NUMBER - NOVA SOUTHEASTERN UNIVERSITY HEALTH CARE CENTER

Laboratory Demographics

  • CLIA Code: 10D0955537
  • Facility Name: NOVA SOUTHEASTERN UNIVERSITY HEALTH CARE CENTER
  • Facility Address: 16853 NE 2ND AVE SUITE S102
    NORTH MIAMI BEACH, FL
    ZIP 33162
  • Facility Phone: 954 336-3716
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: PETER M. COHEN
  • NPI Number: 1447345517
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0955537
LAB Type Physician Office
Facility Name NOVA SOUTHEASTERN UNIVERSITY HEALTH CARE CENTER
Street 16853 NE 2ND AVE SUITE S102
City NORTH MIAMI BEACH
State FL
ZIP 33162
Phone 954 336-3716
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 8/31/2023
Certificate Expiration Date 8/30/2025
Facility Type Physician Office
Lab Director PETER M. COHEN

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This page was last updated on: 3/20/2025